HomeMy WebLinkAboutMechanical 04-1237
CITY OF I THIS FILE HAS BEEN
HEATING/AIR CONDITI4 CLOSED DUE TO
INACTIVITY 4/16/2008
REQUEST FO_
INSPECTION SENT TO
asetype or print and sign at bottom) HOMEOWNER 10-06
JDRESS (
\ ,-/&5 ~ 1&OQ) C;" ~b
(. File
en City
low Applicant
ZONING (office use)
te,/
LEGAL DESCRIPTION (office use only)
LOT C9 BLOCK 2- ADDITION rvtlOtJ/l..-(oVC e~ /$-~
PID z5. 2&0. orz.". 0
(Phone) 1t1-3 '757.; h)tJ)
/JdA ,5C;,):1L/
(City) (Zip Code)
(Phone) &/)-3)1""/7(/11}
DATE /.J- 7~/4
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
. .JRNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
o
I/~
I({::~~~~~:/ tJiri U;
(Address)
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
qc) J~ Ljlt1-1)A If
(Phone)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ) 1 'b, (fJ Building Permit # () '1- . 12] /
dffU lJJ I Ill1 ) {JJI1f1A1 ·
17 HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
n6hlUd
(Office Use Only)
'l'his Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$
$
$
76) .5u
.50
VItO. ()/1)
Paid 4tJ. VU
Date A_
/2//1,0 r
Receipt No.
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